Chapter 1768

Urology Department invited the whole hospital for consultation.

All relevant departments were invited, and even hepatobiliary surgery was invited because of tenderness in the gallbladder area.

In the office, president Yu reported the medical history, and many professors expressed their opinions.

More laboratory tests were carried out, but there were no constructive comments from Mr. Yu.

This difficult and complicated disease is quite difficult, but it can't be delayed. Yu always knows that patients are in pain. This kind of near death pain really makes people depressed.

If you delay for a few days, even if you make a clear diagnosis and get the correct treatment, the patient will leave a strong psychological shadow and even suffer from depression.

"That's it." The staff member of the medical department in charge of the hospital consultation said politely, "please."

We all know that the opinions we put forward are only a possibility, a small probability. Want to make a clear diagnosis... I don't really believe in this diagnosis.

Packing up and ready to leave, the door of the office was pushed open and Zheng Ren strode in.

"Boss Zheng?" Yu is always surprised.

"Well, there's a diagnosis." The smile on Zheng Ren's face is very bright.

"Er..." everyone sat back again.

We are also very curious about this general disease, which lacks a stone "urinary stone". What disease is boss Zheng diagnosed.

"Check a cervical MRI." Zheng Rendao.

"Yu Zong was speechless.

Is this a general examination?

What is the relationship between cervical MRI and renal colic?

"Well, let me say a few words." Zheng Ren stood in front of the film reader. The film reader behind him was open. He seemed to radiate light all over his body.

Su Yun looks interesting. The boss must have figured out where to stand to be more conspicuous!

This position is simply too handsome. It is even more golden than the golden section point. You must try to find opportunities in the future.

"When the patient was young, he was a good athlete and has maintained a considerable amount of exercise for so many years." Zheng Rendao.

"Boss Zheng, it has nothing to do with renal colic." General Yu asked weakly.

"It doesn't matter." Zheng Ren said with a smile, "let me first talk about the diagnosis. Considering that the patient is a mild stenosis of the intervertebral foramen of the cervical spine, it can cause the nerve root to be stimulated and the cervical sympathetic nerve to be excited. When it is weakened, the reflex will cause the vagus nerve to be excited, resulting in the contraction of the gallbladder neck sphincter and ureteral smooth muscle, resulting in biliary and renal colic."

"..." the office was quiet.

If it weren't for boss Zheng, I'm afraid someone would start to get impatient and stand up to leave.

The reason why the professors and directors here didn't leave is that several recent diagnoses of boss Zheng are similar to legends. In particular, Lao he gave Director Mao epidural anesthesia. Until now, everyone still occasionally remembers it.

Is it true?

Although it sounds absurd, looking at the serious and serious expression on boss Zheng's face, the inpatient presidents and professors of all departments who came to the consultation were in a trance.

"But the patient has hematuria." Yu Zong is still struggling.

"Athletes or healthy people who are training have hematuria immediately after a lot of exercise, and its obvious degree is closely related to the size of exercise load and exercise intensity."

"But..."

"Yu Zong, you mean to say that in most cases, the red blood cells in the urine disappear completely within 24 hours to 3 days after exercise." Zheng Rendao.

Mr. Yu nodded. It seems that boss Zheng knows.

"The patient has severe pain, muscle spasm, forced posture, and the amount of activity is higher than that during normal exercise." Zheng Ren said, "it is understandable that hematuria continues."

"And then?" President Yu asked while taking notes.

"No, then, for simple cervical spondylosis, the patient should be consulted by the orthopaedic department. Neck support, take some medicine, and you will get better soon."

"..." Mr. Yu was dumbfounded again.

"Unscientific physical exercise will lead to or even accelerate the chronic strain of the muscles around the cervical spine." Zheng Rendao, "too much activity, playing badminton, cervical spine movement is very frequent, so it leads to cervical spondylosis."

"Cervical spondylosis is not a disease that you can get only by sitting at work or often using your mobile phone to surf the Internet."

"That's it?" Yu Zong still refused to believe it.

"Well, that's it." Zheng Rendao, "because of renal colic, the patient and we all ignored the symptoms of slight pain in his right shoulder and numbness in his right upper limb. After all, compared with renal colic, shoulder pain and slight numbness in his hand are easy to be ignored."

Zheng Ren looked around the office and saw that no one was talking. He smiled and said, "if you have doubts, make a partial closure."

This is an immediate way. After the local symptoms are relieved, if the renal colic is also relieved, it proves that boss Zheng's diagnosis is correct.

Although this diagnosis sounds very unreliable.

Local closure is usually a mixed injection of prednisolone injection and lidocaine hydrochloride in a certain concentration and quantity into the lesion area.

It is used to treat pain, mainly using its anti-inflammatory effect. They can improve the permeability of capillaries, inhibit inflammatory response and reduce the damage of pathogenic factors to the body.

Local closure rarely appears in clinic as diagnostic treatment. In 912 hospitals, it is mostly done in outpatient department.

The closure is very simple. Zheng Ren finished it in 2 minutes under the onlookers of many professors and directors.

The whole process is simple and straightforward.

Everyone's eyes are fixed on the patient, some expectations or other ideas.

In less than ten minutes, the symptoms of renal colic were significantly relieved. Everyone, including the patient, wondered, how can a needle in the neck stop the stomach pain?

It's a little incredible.

"Well, the diagnosis is quite clear." Zheng Ren looked at the patient's performance and was very satisfied. "Mr. Yu, seize the time to do MRI, and then go to the orthopaedic department for consultation. It's a simple problem. It's estimated that the condition will not be very serious."

"Oh, oh." Yu always saw that the renal colic disappeared after the closure, and the whole person was silly.

He considered almost all the problems, but he never considered the abdominal pain caused by cervical problems.

This idea is too strange and incredible.

But no one refuted that with a needle of local closure, the symptoms of renal colic were relieved immediately, which was enough to explain the problem.

Others were amazed and left one after another. Yu general first gave an emergency cervical MRI and asked the patient to have an examination. Then he took Zheng Ren and Su Yun to his duty room and questioned them for a long time.

Although logic can be understood, he refused to believe it in the end.

……

……

Note: last year, I went to our department director to see a doctor. A senior brother just gave me a similar case, so I used it.

Similar medical records were searched. Hematuria is not common. The more extreme cases are used here.